Full Course Description
Healing from the Bottom Up: How to Help Clients Access Resource States with Peter Levine
Program Information
Objectives
- Assess physical cues of internal states that indicate the resources clients can access to improve clinical outcomes.
Outline
- Master the SIBAM model for systematically observing clients' nonverbal responses.
- Guide clients in "riding the waves" of their sensations as they exit from their immobility response and experience release from their original trauma.
- Titrate your interventions to maximize your impact and avoid retraumatizing vulnerable clients.
Copyright :
22/03/2014
Couples Therapy for Treating Trauma: The Gottman Method Approach
Program Information
Objectives
- Determine the impact of PTSD on a couple’s relationship to inform the clinician’s choice of treatment interventions for both the individual and couple.
- Apply simple yet effective clinical interventions in session to help clients acquire a new perspective of PTSD and a more adaptive approach to managing symptoms.
- Assess the often ignored social and interpersonal symptoms of PTSD in clients.
Outline
What is PTSD?
- DSM-5
- Ignored PTSD Symptoms
- Epidemiology
- Cases of PTSD
- Neuroscience of PTSD
- The Physiology of PTSD
Effective Treatments of PTSD
- Individual Treatments
- Couples Treatments
- Emotionally-Focused Therapy (EFT)
Couples’ Therapy for PTSD
- PTSD’s Affects on Relationships
- The Non-PTSD Partner
- Effects on Sound Relationship House
- Love Maps
- Turning Toward
- Conflict Management
Intervention for Couples with PTSD
- Surfacing
- Exploration
- Returning to Couple Interaction
- Specific Interventions
- Creating Shared Meaning
Copyright :
25/03/2018
Mastering the Craft of Treating Trauma
Program Information
Objectives
- Manage the clinical demands of working with developmental trauma using the core clinical skills.
- Develop the clinical implications of trauma as they manifest in the consulting room and in the client’s life.
- Analyze the history of client’s significant attachments as it relates to case conceptualization.
- Analyze the efficacy of the four core clinician skills in relation to assessment and treatment planning.
Outline
- Working Definition of Trauma
- Identifying and working with the by-products of trauma as they manifest in the consulting room and the client’s life.
- Evaluate client readiness and motivation for desired change
- Evaluate client skills necessary for effective trauma treatment
- Explore history of significant attachments
- Navigate the unique clinical demands of working with developmental trauma
Copyright :
24/03/2018
The Essentials of Effective Trauma Treatment: How to Go Beyond Technique
Program Information
Outline
- Creating a Context for Change
- Micro and macro perspectives
- Awareness and attunement to when you use (or don’t use) 5 essential ingredients
- failure in therapy is failure to notice these 5 ingredients
- key to therapy and life changes is recognizing when you use and do not use them
- Discuss with clients the process of therapy
- Understand client’s goals
- Explain therapy processes that enable change to happen
- Build collaboration, interaction and engagement
- Ask client, “what do you want to know about me?” (note: this was discussed during Role Play)
- Challenging Patterns/Cycles and Expanding Realities: a Collaborative Change model
- Fractal model: repeating patterns of the 5 essential ingredients, within and between sessions
- Concept-driven, universal model
- Adapt to the needs and goals of each client: therapy as an art form
- Challenges client and therapist to think differently
- Use the Five Essential Ingredients for Healing
- Attachment and connection: help clients build relationships with you and others
- Create a sense of belonging, mutual curiosity, compassion, empathy
- Communicate with collaborative conversations that validate the client
- Connect to a deep set of values that provide meaningful vision
- Safety and empowerment: build refuge by creating boundaries
- Explain your therapeutic model and why you chose to use this approach
- Expect client challenges
- Values: use collaborative, strength-based guidance
- Generate discussion of vulnerabilities and resources, and how to use them in the moment
- Recognize the universal nature of challenge and change
- Skills: learn and apply many therapeutic models (discussed primarily during “Role Play”)
- Apply psycho-educational and therapeutic approaches
- Identify resources for client success
- Hope: expecting the possibility of change (discussed primarily during “Role Play”)
- Use resources to create possibilities
- Build expectations in clients
- Accept finite possibilities to create infinite hope
- Consolidation and repetition: pause, reflect, and combine experiences
- Harness the natural cycle of change and growth through using these 3 steps in the Collaborative Change Model,
- Recognize and repeat the 5 Essential Ingredients for Healing
- Build skills for therapeutic intervention
- (the following points outline the speaker’s final hour with audience participation)
- Role play demonstrations with participants:
- Pictionary: draw a time you felt safe when growing up in your family
- Pause and reflect, to contract and consolidate
- all clients are asked to keep a journal of resources to use in the process of change
- contrast vulnerabilities with resources
- write one thing you will take with you from session today; distil this to one word
Objectives
- Assess the client’s natural change cycle and how to organize therapy around it
- Develop procedures for creating a secure, safe attachment, including a transparent and overt collaborative contract
- Support clients’ resources rather than becoming preoccupied with pathology
- Assess the client’s resources and your own to create an effective treatment plan
Copyright :
24/03/2017
Cultural and Historical Traumas: Invisible Barriers to Healing and Change
Program Information
Objectives
- Evaluate the clinical implications of clients with historical trauma to inform the clinician’s choice of treatment interventions.
- Articulate clinical interventions that acknowledge and process grief and loss connected to the client’s historical trauma.
Outline
Awareness, Acknowledgement and Assessment
- Acknowledgement and Awareness of The Intergenerational Impact and Memory Traces of Cultural and
- Historical Traumas on Clients and The Therapist’s Own Self
- Relevant Areas for Assessment
- Structured Model of Assessment
- Case Examples of The Clinical Implications of Traumatic Experiences in The Present
Moving from Reflexive Reactivity to Connection, Fluidity and Coherence in The Here and Now
- Difference Between Bias, Prejudice and the “Isms”
- The Process to Regulate the Neurobiology of Bias
- The Benefit and Power of Providing the Resources of Witness, Protector and Comforter to Heal Intergenerational Wounds
How to Uncover the Survival Narrative, Validate the Trauma, And Move to A Strengths-Based Process of Empowerment and Healing
- Studying, Listening to And Validating the Client’s Traumatic Cultural Narrative, While Listening for The Resources That Helped Them Survive
- Using the Client’s Own Survival Resources, As Well As Cultural-Specific Rituals and/or Creating New Rituals for Acknowledging and Processing the Loss and Grief Connected to Historical Traumas
- New Ways to Establish Boundaries and Self-Defense and Self-Protection
Copyright :
23/03/2018
Treating Complex Trauma Clients at the Edge: How Brain Science Can Inform Interventions
Program Information
Objectives
- Evaluate the extreme symptoms of trauma by determining if they are rooted in sympathetic activation or parasympathetic withdrawal to inform clinical treatment interventions.
- Articulate methods by which neuroscience can be interfaced with psychotherapy practices to improve clinical outcomes.
Outline
Experiential Treatments - Integrating neuroscience and psychotherapy
- Necessity of utilizing physical, emotional and relationship aspects in therapeutic intervention
Problems with traditional phase oriented treatment
- Negative evaluation of symptoms - ignoring their protective function
Internal Family Systems
- Understanding symptom presentation as positive efforts pushed to extremes
- Welcoming and integrating all parts of an individual
- Identifying intent of symptomology, importance of avoiding shaming
Redefining trauma related diagnoses and integrating overactive protective mechanisms
- Disorganized attachment
- Borderline Personality Disorder, Dissociative Identity Disorder
Therapist factors - vulnerabilities
- Impact of therapist parts acting as separately as the clients we work with
- Responding effectively to personal triggers
Symptoms of post trauma
- Hyperarousal, hyperarousal, psychic wounds
- Importance of obtaining permission before addressing psychic wounds
Experiential exercise - self-awareness, response to triggers
Mind-brain relationships
- Neuroplasticity, neural integration
- Neural networks associated with trauma
- Implicit nature of trauma memories
Autonomic nervous system
- Role of cortisol
- Sympathetic hyper-arousal
- Characteristics of extreme symptom activation and mixed states
Therapeutic responses
- Choosing compassion or empathic responses
- Providing auxiliary cognition
- Strategies to avoid contributing to hyperarousal
- Top down strategies to separate or unblend
Case presentation - example of permission seeking, direct access and unblending
Polyvagal Theory
- Dorsal and ventral branches
- Activating strategies, responding to hypo-arousal, blunting
Copyright :
23/03/2018
Overcoming Trauma-Related Shame and Self-Loathing with Janina Fisher, Ph.D.
Program Information
Objectives
- Discriminate the clinical implications of physiological and cognitive contributors to shame.
- Determine cognitive-behavioural, ego state, and psychoeducational interventions to address shame in clinical practice.
Outline
The Neurobiology of Shame
- The role of shame in traumatic experience
- Shame as an animal defence survival response
- Effects of shame on autonomic arousal
Shame’s Evolutionary Purpose
- Shame and the attachment system
- Rupture and repair in attachment formation
Making Meaning of Shame
- Feelings of disgust, degradation, and humiliation are interpreted as “who I am”
- Cognition and the body
- Internal working models predict the future and determine our actions
Working from the “Bottom Up”
- The role of procedural learning and memory
- Physiological effects of mindful dual awareness
- Using mindfulness-based techniques to inhibit self-judgment
A New Relationship to the Shame: Acceptance and Compassion
- Re-contextualizing shame as a younger self or part
- Bringing our adult capacity to our childhood vulnerability
- Healing shame through compassionate acceptance
The Social Engagement System and the Healing of Shame
- Social engagement and the ventral vagal system (Porges)
- The incompatibility of shame and social engagement
- The therapist’s own social engagement system as a healing agent
Copyright :
09/12/2013